Physician Assistant, Medical
JACQUELINE BOULRIS PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1639937154 · enumerated 2024-03-11 · record updated 2025-02-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: JACKIE BOULRIS
Addresses and phones
- Practice location 1860 TOWN CENTER DR STE 240, RESTON, VA, 20190-5899 (703) 796-1986 Google Maps Apple Maps OpenStreetMap
- Mailing address 1860 TOWN CENTER DR STE 240, RESTON, VA, 20190-5899 (703) 796-1986 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · Primary · License 0110009803 VA
In this directory
Locations and evidence
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Practice location
RESTON, VA, 201905899
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.